Abin da ya yi idan yaro yana rectal prolapse? dalilai

A likita yi akwai asibiti lokuta ne na hanji cututtuka. The yaro rectal prolapse kuma za a iya kira na kowa matsala. A Pathology ne da biya diyya na distal ganuwar tare da su m asara ta cikin tsuliya orifice.

Me ya sa asarar hanji a yara?

Yawanci, da cutar da aka gano cutar a farkon yara. A wannan yanayin, da boys ke karkashin 5 years old ne yafi saukin kamuwa da cuta.

Kafin mu tattauna a daki-daki rectal prolapse a wani yaro da kuma ta pathogenesis, yana da daraja da biyan hankali ga gaskiyar cewa cutar ba za a dauke m ba matsala. Mafi sau da yawa ta bayyana a matsayin wani sakamako na daban-daban pathological yanayi. A manya, kazalika da yaro, asarar rectal da farko saboda wani karuwa a ciki-ciki matsa lamba. Bi da bi, moriya ga wannan tsari da kuma dalilai dauke su da tushen Sanadin da asalin da kuma samuwar cutar. Sun kasu kashi biyu kungiyoyin.

Predisposition zuwa fitowan cuta

Na farko shi ne predisposing abubuwan da fararwa da cutar. Su ne:

1. M hali. Saboda gaskiya cewa yara a ƙarƙashin da shekaru 6 da shekaru a filin daga kashi lumbosacral halitta concavity wajen weakly bayyana. Saboda babu lordosis da pelvic karkatar kasa dubura ne mai saukin ganewa. Tare da kara ciki-ciki matsa lamba, da dukan kaya da aka canjawa wuri zuwa dubura.
2. A zurfin na Douglas sarari. A mafi wannan darajar (wanda shi ne halayyar matasa da yara), da ƙananan ne vesico-hanji indentations a peritoneum. Lokacin da babban matsin auku a gaban bango invagination cewa hidima a matsayin mai inganci dalilin ci gaban Pathology a yaro. Rectal prolapse na iya faruwa a gaban sauran sifofin a cikin shimfiɗar jariri: dogon mesentery, sako-sako da irin intraenteric arteries, da dai sauransu ...
3. Sauran gastrointestinal cututtuka da ciwon tamowa, ko kuma m ciyar. A wannan yanayin, da abnormality tasowa saboda degenerative canje-canje a cikin mahaukaci pelvic kasa tsokoki da kuma paraproctium.

An samo abubuwan da sa asarar hanji

Na biyu kungiyar na causative dalilai an samu disturbances a cikin aiki na narkewa kamar tsarin da gastrointestinal fili, wanda aiki a matsayin masomin fitowan da matsalar. The yaro rectal prolapse (abin da ya kamata iyaye yi a wannan yanayin, gaya da gwani, sabõda haka ka kãma naka matakai zuwa jariri magani bada shawara mai karfi) sau da yawa faruwa saboda keta da kujera. Matsalolin a lokacin aikin defecation a cikin nau'i na yau da kullum maƙarƙashiya - ainihin inji na da ƙaddamar da cutar. M ƙagauta da kuma shafe tsawon daukan hotuna da tukunyar adversely shafi yanayin tsuliya sphincter.

A halin yanzu, quite sau da yawa, da kuma sauran abubuwan iya haifar da karuwa a matsa lamba a cikin intraperitoneal rami, wanda tsokani rectal prolapse a yara. A Sanadin wannan pathological sabon abu sau da yawa karya a cikin hysterical tari mashako, ko wahala yana yin fitsari (misali, phimosis a boys).

Bugu da ƙari kuma, ga alama wannan tsanani Pathology, yawanci na taka muhimmiyar rawa hade da dalilai. A mafi yawan lokuta, gaban daya ko fiye na sama matsaloli, rectal prolapse a wani yaro ya auku a hankali.

Features na bayyanar cututtuka a yara

A hatsari da wannan cuta ne cewa ta cututtuka su ne na farko na dogon lokaci zai iya zama gaba daya ganuwa. Dalilin shi ne asarar da rectal mucosa. A yara, shi ya auku mafi sau da yawa daya mai gefe kuma, a cikin hãlãye. A lokacin ayyukan defecation partially da dama miki site, da kuma bayan aiwatar sake boye a baya da sphincter.

A wannan lokacin, da baby ta iyaye na iya lura da redness a tsuliya yankin, kama wani rosette. Wannan ne ainihin wani buɗi na tashin hankali ya kamata a gani da mahaifa. Spotting dubura batawa kuma hidima a matsayin wata ãyã bayyananna daga asara da hanji. Progressive cuta halin mafi tsanani bayyanar cututtuka. A halayyar za a iya kira a tsaguwa ko star-dimbin yawa rami a tsakiyar wani dan kadan bluish tint.

Ãyõyin m cuta

Bugu da kari, na dogon lokaci shi riƙe sautin na tsuliya sphincter, dama precipitated nauyi hanji, don haka duk wani yunkurin suna tare da m majiyai a cikin yaro. Rectal prolapse baya bayyana kanta hypotension musculature na pelvic bene, game da shi daidaita da tsuliya canal precipitated baya part iya riga sauƙi, amma da zarar shi ya auku m fall kan.

Lokacin da Pathology ne a guje, sauke-saukar kashi sau da yawa yakan mallaki wani gagarumin size, wani lokacin yin dukan jiki tsawon. Kowane rectal prolapse a yara (photos ba zai iya zama ba ga da'a dalilai) ne zũciyõyinsu, misali lokacin da ka yi atishawa ko tari, da kadan jiki kokarin. Mafi sau da yawa wannan kashi gaye daidaita da hannu. A wani rauni na waje sphincter taimaka tsananta pathological yanayin yaro, inda babbar matsala ne fecal incontinence.

A daidai wannan lokaci da adana contractility na sphincter tsokoki iya shafar barnatar da a kan ci gaban da cutar da kuma kai wa ga irin wannan rikitarwa a matsayin ƙeta na mucosa. A wannan yanayin da yaro yana bukatar gaggawa tiyata.

Ta yaya ne lura da asarar hanji?

Iyaye da sauri ya juya zuwa ga masana wannan matsala tare da jariri ba zai iya tsira. Mafi sau da yawa, kintacen dawo ne sosai m. Bugu da kari, cikin dabara na far ne mafi ra'ayin mazan jiya a kwatanta da magani daga adult marasa lafiya. A lokaci guda mutane ta na nufin ba shi yiwuwa a shawo kan rectal prolapse a yara. Jiyya kamata faru ne kawai a karkashin kulawa da kwararru, bunkasa da yin amfani da wasu kwayoyi da kuma hanyoyin.

Daidaiku, dangane da asibiti manifestations da cutar, kasancewa baby da kuma shafe tsawon lokacin kiranka na cuta, likita ya furta daya daga uku bambancin far:

• ra'ayin mazan jiya magani shirin.
• sclerosing Hanyar.
• tiyata.

ra'ayin mazan jiya magani

Na farko zaži jiyya ga rectal prolapse a wani yaro a karkashin 5 shekaru ne ya fi kowa, kuma rare. A asarar mucosal da irin wannan magani yana nuna a mafi yawan lokuta, kuma ga mazan yara. The main manufofin wannan hadaddun maido da matakan za a yi la'akari da:

• karfafawa yanayi da kuma kawar da duk wani take hakki na kujera, stool.
• farkon kafa al'ada hanji emptying yanayin.
• zabin da ya fi dace rage cin abinci a lokacin da ikon gyara.

Hanyar cimma wannan zai yiwu ne kawai da taimakon abinci da far. Kawar da tushen cutar - high ciki matsa lamba - by zabi optimally dace wadata kewaye da zama dole taimako sakamako ko m fastening. A babu kyau muhimmancin likita iya rubũta da amfani da takamaiman kwayoyi.

Far ba tare da tukunya

Da zarar daidai defecation gwamnatin za a kafa, yana da muhimmanci mu ajiye yaro daga m tura zuwa žata. Don mayar da pelvic tsokoki da su aikin sadarwa, da take hakkin wanda ya haddasa rectal prolapse a yara Komorowski da shawarar a rage yiwuwar danniya da kuma ƙagauta. Matsayin mai mulkin, magani na yaro ne da aka yi amfani da Potty ko bayan gida, defecate ya kamata musamman a cikin supine kõ kuwa a tsaye matsayi. Babu load a kan dubura - daya daga cikin muhimman yanayi na wannan cuta far, da kuma wannan lokaci na bukatar mai yawa haƙuri kuma kula a kan wani ɓangare na iyaye.

Sau da yawa domin cikakken maida yanayin ne kama wani likita na tsawon game da 3-4 watanni. Nasarar wannan magani kusan tabbatar da cikakken sakamakon binciken. A abũbuwan amfãni daga wannan hanya da magani ne bayyananne: wani waje kutse a cikin jikin wani yaro ne ba a nan, akwai wani kai-waraka saboda tsoka dawo da kuma rage na su zaruruwa.

Duk da haka, dawo da yake ba a ce sakamakon da aka samu da zarar kuma na sake komowa yaro ba barazana. A kan shekara ta gaba, yana da muhimmanci wajen saka idanu da yanayin, da kuma lokacin da sake daidaita prolapse dubura cikin tsuliya canal da sauri.

Yadda za a daidaita naka yaro prolapsed dubura?

Musamman hankali ya kamata a matsahi na saba da nuances reposition kayan aiki. La'akari da shekaru, rectal prolapse a wani yaro (2 shekaru ko 6 years) na bukatar gaggawa na sauki magudi. Babban abu ne cewa yaro ya kwantar da hankula da kuma annashuwa a matsayin yiwu. The yaro ya kwanta a baya. A precipitated gutsure dubura wajibi ne don man shafawa man shafawa, sa'an nan, bayan sa a kan safar hannu, shan yatsunsu na hannayensa biyu, kuma ba tare da mai kuzari kokari, tãna tãshi da sauƙi, kuma a hankali daidaita a ciki. Ya kamata a fara daga tsakiyar rabo, saboda dama gefen hanya ya yi prolapsed hanji spontaneously dama a cikin tsuliya canal. Da zarar rage wani ɓaɓɓake sami kansa a ciki, da yaro yana da muhimmanci a sannu a hankali kau da on your ciki da kuma ci gaba da gindi.

Ta yaya ne sclerotherapy

A mafi hadaddun, m lokuta, magani ne da za'ayi a asibiti da kuma yawanci Resort ga likita. Sclerotherapy ne sau da yawa m yau, kamar yadda yake a hanya na tiyata. A hanya ne gabatarwar musamman jamiái, wanda mataki ne zuwa ga busa paraproctium. Bugu da ari, akwai da ana tsammanin cell mutuwa, wanda aka maye gurbinsu da scarring da hardening na kyallen takarda kewaye da dubura. Wannan ba ka damar da tabbaci kafa su epithelium da surface na hanji.

M rikitarwa sclerosis

A halin yanzu, yawancin masana a cikin filin na yara tiyata sosai wary hali zuwa wannan hanyoyin magani. A dalilin wannan ne m gwamnati na kwayoyi, kazalika da mafi girma hadarin da bunkasa rikitarwa na ciki necrotic hanji bango. Sclerotherapy zai iya faru ne kawai a lokacin da ra'ayin mazan jiya magani wani zaɓi ne gaba daya m, ko akwai wani gwaji alama na ƙeta.

Na biyu Hanyar ya shafi tiyata rectopexy - kau da Pull-saukar rabo bin hanya Zerenina - Ita barasar ana yin.

A cikin wani hali, da kowace cuta, ciki har da asarar hanji a yara ne sauƙin su hana fiye da zuwa magani. Don hana ci gaban Pathology kamata hana duk wani m hadura. A musamman, kada ka ƙasƙantar da jariri ya zauna har tsawon wani lokaci a kan tukunyar kuma dauki mataki nan da nan a wata 'yar alamar take hakkin da kujera.